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Background
- Volatile liquid used in leaded gasoline and pesticides
Mechanism of Toxicity
- Irritant, with potential to cause chemical burns
- Respiratory tract irritation if inhaled
- Metabolites irreversibly bind to DNA and enzymes
Clinical Features
Differential Diagnosis
Toxic gas exposure
Evaluation
- Based on clinical history
- Specific levels are not useful in the ED
Management
- Decontamination measures
- Administer activated charcoal
- Treat wheezing, obstruction, pulmonary edema
- No role for hemodialysis
Disposition
See Also
References
- Olson, K. Poisoning and Drug Overdose, 1999.